Complaint Investigation Report

On 09/09/2025, while conducting the unannounced annual required visit, at approximately 10:25 AM, LPA interviewed R4. During an unannounced subsequent complaint visit conducted on 09/29/2025, LPA interviewed Resident #3 (R3) and conducted telephone interviews with Staff #1 (S1) and Staff #3 (S3).

Allegation: Staff inappropriately isolated resident. Regarding the allegation is was reported that R1 has been isolated in their room for a month without an explanation. LPA's interview with R1 on 02/25/2025 indicated that they had been isolated for little over a week. R1 stated they only coughed once in a while and had a severe infection before that. R1 did not recall the date they were sick. Interview with the Administrator on 02/25/2025 confirmed R1 was isolated towards the end of January as a precaution because R1 had Covid-19 or flu-like symptoms such as constant cough with extreme phlegm. Administrator stated she contacted R1's responsible party to have R1 taken to the hospital to be examined and rule out covid-19 but they refused to take R1 and have R1 transported via ambulance. According to the Administrator they were following their infection control plan to minimize the spread of infection. LPA's interview with R2 on 02/25/2025 confirmed they had been sick with vomiting, cold, and pain recently and had been isolating in their room. According to R2 prior to getting sick they observed R1 was "very sick" and isolated for a week. Interview with three staff including the administrator corroborate R1 was exhibiting flu like symptoms and was isolated no more than a week. Interview with four (04) out (05) five residents with one (01) resident not responding to questions corroborate R1 had flu like symptoms coughing during mealtimes. LPA’s review of the facilities infection control plan verbatim “Facility will ensure separation and care of residents whose illness requires separation, including minimizing group and public activities and ensure residents are eating meals in their rooms.

Based on interviews conducted and record review there is insufficient evidence R1 was isolated for over a month therefore the allegation is deemed Unsubstantiated at this time.

Allegation: Staff are not responding to resident's call button. It is alleged that staff are not responding to Resident #1’s (R1’s) calls for assistance. On 02/25/2025, during LPA’s physical plant tour, LPA tested R1’s call button and observed it to be functional. In an interview conducted by LPA, R1 denied the allegation. R1 stated they had no issues with getting assistance but that staff had complained that R1 was pushing their call button all the time. R1 denied this stating they only push it when they need assistance. Interview with the Administrator and three (03) staff denied the allegation.